Expedited Trucking & Air Freight Trucking Throughout 48 States & Canada


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Credit Application Form

Please complete the form fields, hit Generate, then print and fax the document to: Susan Mooney - Fax: (704) 941-6963

Thank You!

Credit Application - Payment Terms: Net 15 Days from Invoice date
 

Date:                      Name of Person Calling:

Phone:                    Fax:

Customer's Full Legal Name:

Billing Street Address:

City:                    State:                     Zip:

Number of Years in Business:

Phone Number of Accounts Payable:

Contact Name:

Special Billing Instructions:

PO Number Required:    Yes      No 

Payment Terms: Net 15 Days from Invoice date.  All overdue accounts will be charged an administrative late fee of $10.00 and interest at 1.5% per month. Returned checks will be charged $25.00

Bank Information

Name:                    Account Number:

Sorting Code:         Phone Number:

 

Credit References

1)   Company:

      Address:                    

      City:                State:                            Zip:

      Phone Number:                  Contact Person:

2)   Company:

      Address:                    

      City:                State:                            Zip:

      Phone Number:                  Contact Person:

3)   Company:

      Address:                    

      City:                State:                            Zip:

      Phone Number:                  Contact Person:

 

 

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Corporate Office
3100 Yorkmont Road
Charlotte, N.C. 28208
Phone: 704-587-0001
Toll Free: 800-777-6068
Fax: 704-587-0966
 Email: